Individual provider · Type 1 NPI

Jasmine Petty-Gooden

Licensed Practical Nurse · Englewood, OH

NPI number 1982489399 Active

Practice location

711 W Wenger Rd Apt 151
Englewood, OH 45322-1913

Call (937) 668-3289 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XLPN.186165 (OH)
Home Health Aide 374U00000XLPN.186165 (OH)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1982489399

Jasmine Petty-Gooden's National Provider Identifier is 1982489399, issued on Aug 25, 2023. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Englewood, OH. The record was last updated on Feb 6, 2024.